Sr. Clinical Business Analyst

Glint Tech Solutions LLC
New York, NY
Category Healthcare
Job Description
We are seeking an experienced Clinical Business Analyst to support critical interoperability mandates, including CMS-0057 F.

Requirements

  • Lead stakeholder meetings to gather and define requirements
  • Drive end-to-end requirements lifecycle & traceability
  • Document, validate, and map business requirements
  • Collaborate with business, IT, and QA teams
  • Support interoperability APIs (Prior Authorization focus)
  • 8+ years as BA (5+ years in Clinical environment)
  • Strong experience with CMS-0057 F mandate
  • Utilization Management (UM) & Clinical Operations expertise
  • Experience with GuidingCare (preferred), InterQual or MCG
  • Interoperability & API knowledge
  • Strong documentation, communication & stakeholder management
  • Jira experience is a plus
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